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Public Perception of Robot-Assisted Spine Surgery
Luca Fumagalli1, Alexandros Moniakis1, Alberto Pagnamenta2,3,4
1Neurosurgery Department, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale, 6900 Lugano, Switzerland.
Journal of Clinical Medicine
|July 12, 2025
Summary
Public perception of robot-assisted spine surgery is positive. Live demonstrations increase patient trust and preference for robotic spinal procedures, suggesting potential economic benefits for hospitals offering this technology.
Area of Science:
- Neurosurgery
- Medical Robotics
- Public Health
Background:
- Patient perception is crucial for the adoption of robotic assistance in spinal procedures.
- Public understanding and perception of robot-assisted spine surgery remain largely unexplored.
- This study addresses the gap in knowledge regarding public views on robotic spinal operations.
Purpose of the Study:
- To assess the general public's perceptions of robot-assisted spine surgery.
- To understand public expectations and concerns related to robotic spinal procedures.
- To evaluate the impact of live demonstrations on public acceptance of surgical robots.
Main Methods:
- A 15-item questionnaire was administered to public attendees at a live demonstration of the Globus ExcelsiusGPS™ spine robot.
- Participants' demographics, prior knowledge, mental representations, expectations, and emotions were assessed.
- Data were analyzed using descriptive statistics and inferential tests, including chi-square, Wilcoxon, McNemar, and logistic regression.
Main Results:
- 81.9% of participants felt reassured by the robot after the demonstration, an increase from 61.3% before (p = 0.007).
- Preference for robot-assisted surgery rose significantly from 50.5% to 64.5% (p < 0.001).
- Individuals with back issues reported greater confidence in robotic capabilities (p = 0.032).
Conclusions:
- The public generally views robot-assisted spine surgery favorably, perceiving it as precise and efficient.
- Live demonstrations are effective in building public trust and acceptance of robotic surgical systems.
- Positive public perception may influence patient choice, impacting hospital economics, though alternative methods like computer-assisted navigation are also noted.

